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Spay/Neuter Voucher Form
Fill out the form below to receive a spay/neuter voucher.
Once reviewed by LAPS you will receive a voucher number via email that you will give to the Veterinarian.
Please allow 72 hours for LAPS to review.
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* Indicates required question
Email
*
Your email
Owners First Name
As it will appear on Vet Invoice
*
Your answer
Owners Last Name
A
s it will appear on Vet Invoice
*
Your answer
Veterinarians Clinic Name performing the Spay/Neuter
*
Your answer
You must work or live in Summit County to be eligible for this voucher. Please provide your place of employment or home address.
*
Your answer
Procedure is for: Dog/Cat/Other
If Other, name animal type
*
Your answer
Is the animal Male or Female
*
Choose
Male
Female
Pets Name
*
Your answer
How did you hear about this Program?
*
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
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